Healthcare Provider Details

I. General information

NPI: 1508798075
Provider Name (Legal Business Name): ALLANA JOY LABORA BORBON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 B ST
HAYWARD CA
94541-3020
US

IV. Provider business mailing address

19 COTTAGE AVE UNIT 15
RICHMOND CA
94801-3916
US

V. Phone/Fax

Practice location:
  • Phone: 510-246-6138
  • Fax:
Mailing address:
  • Phone: 775-567-8388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: